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Public Narrative and Strategy:Building Teams & Fixing Problems
Andrew Morris-Singer, MDPresident, Primary Care Progress
Affiliate Instructor, OHSU Department of Family Medicine
Lecturer, Harvard Medical School
Stephanie AinesChapter Outreach Manager & Lead Organizer
Primary Care Progress
Objectives
What makes a leadership story?
Storytelling as a leadership practice
Acknowledgements
Adapted from the work of Marshall Ganz of the Harvard Kennedy School and Leading Change Network.
Leadership Styles“Dot” in the Middle
Everyone is a Leader
Leadership Styles
The SnowflakeAn interdependent model of leadership
Leading Change Efforts
Steph’s Story
Public Narrative
Self
Us Now
What is a Public Narrative?• 3 parts:
– Story of SELF: Why do I care? What brought me to this point of stepping up and taking action?
Communicates MY values through choices
– Story of US: Why do WE care? What are moments we have shared as a community?
Communicates values we SHARE
– Story of NOW: Why is it time to take action now? Why is it urgent? What must we do now?
Brings us together to take action NOW
Story of Self
Why was I called to be a leader?Communicates values through choices
Story of Us• “What values do I share with others?”• A story about a specific group of people• Highlights choices we’ve made
Story of Now
• Creates a sense of urgency• Calls on the community to act NOW
3 Parts of Public NarrativeInvites others to bein relationship with you
Invites others to join in your communityunity
Invites others to takeACTION!
Invites others to be in relationship with you
Invites others to take ACTION!
Your story succeeds if it has…
A choiceA challenge An outcome
•Why am I called to leadership in healthcare? What is my purpose in calling on others to join me?
–Focus on a major project you are working on with your team. Why did you decide to tackle this specific problem? What stories can you tell to answer these questions?
•What values move me to act? How might they inspire others to similar action?
•What stories can I tell from my own life about specific people or events that would show (rather than tell) how I learned or acted on those values?
•CHALLENGE CHOICE OUTCOME
Pulling Together The Ingredients
Practice
Break!!
Don’t work harder to effect change.Work smarter.
Strategy & Action
Bringing People Together
Building community, sharing resources Advocacy and leadership Advancing Innovation
Engaging communities to transform primary care
Theory of Change
• Theory of No Change
• Technical – flu shots
• Legislative/Judicial – Brown v. Board
• Organizing – people power!
So what are we talking about…
Strategy is turning the RESOURCES you have into
the POWER you need to get the CHANGE you want
GoalsStrategy is…
Into what you needTurning what you have
Resources To get what you wantPOWER
4 Key Questions In Strategizing
1) What is the PROBLEM?
2) Who are our PEOPLE?
3) What is our SOLUTION – the CHANGE that we seek in order to begin solving the problem? (Goal)
4) Who can give it to us? What do they care about? What do we have that they care about?
Montgomery Bus Boycott
(Step 1) What is the problem?
Racism
Segregation: Busses
(STEP 1) What is the Problem?
ALLIES
LEADERSHIP
CONSTITUENTS:
ALLIES
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
(Step 2) Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS:
AFRICAN-AMERICANS IN MONTGOMERY, ALABAMA
IN 1955
ALLIES
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS
ALLIES
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
Who Are Your People?
OPPOSITION
E.D. Nixon
Jo Ann Robinson
Dr. Martin Luther King
Who was the Leadership Team?
Rosa Parks
ALLIES
LEADERSHIP
CONSTITUENTS
ALLIES
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS
-bus companies
-City Council
-many white people in town
ALLIES
Gre
ates
t Int
eres
t in
Chan
ge
Greatest Interest in Status Q
uo Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS
ALLIES
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS
ALLIES: Sympathetic whites
Cab driversPeople in other cities
Gre
ates
t Int
eres
t in
Chan
geG
reatest Interest in Status Quo
Who Are Your People?
OPPOSITION
End of Racism; Justice, Equality
Integrated Busses
(STEP 3) What’s the Solution?
GoalsStrategy is…Steph
Into the what you needTurning what you have
Resources To get what you want
POWER
(STEP 4) Who can give us what we want?
University of Colorado and Community
(Step 1) What’s the problem?
Poverty and healthcare disparities
Lack of access to the
AMC
(STEP 1) What’s the Problem?
Primary care marginalization,
professional siloization
Lack of IP training in
primary care
ALLIES
ALLIES
LEADERSHIP
Gre
ates
t In
tere
st in
Ch
ange
Greatest In
terest in Statu
s Qu
o(Step 2) Who Are Your People?
OPPOSITION
ALLIES
LEADERSHIP
CONSTITUENTS
ALLIES
OPPOSITION
It’s Partner Time!
Gathering Key Support
Data and Stories
Community access to healthcare and IP student collaboration
An IP student run free clinic!
(STEP 3 ) What’s the Solution?
(STEP 4 ) Who can give us what we want?
Dean
Chair of Site of Practice Cmttee
GoalsStrategy is…Steph
Into the what you needTurning what you have
Resources To get what you want
POWER
(STEP 4) Who can give us what we want?
Great Technical Plan
• Testing Through UCH• Supplies Through Schools,
Advocates for World Health• Interpreter Training and
Language Line• Patient Navigator Training• Community Resource
Clearinghouse• Insurance Enrollment and
Referrals
The Petition
(Step 1) What problems face us in PRIMARY CARE?
What is the Problem?
Marginalization of Primary Care.
(STEP 1) What’s the Problem?
ALLIES
LEADERSHIP
CONSTITUENTS:
ALLIES
Gre
ates
t Int
eres
t in
Chan
ge Greatest Interest in Status Q
uo(Step 2) Who Are Our People?
OPPOSITION
SOLUTION
(STEP 3 ) What’s the Solution?
Track Down Power
• What do my people want? (the goal!)
• Who can give us what we want? Us? Others?
• What are their/our interests?
• What do we have that they need?
Theory of Change
Debrief
Plusses...
Deltas...
Takeaways...
Evaluation.
Surveys (3 options) !!!!!
Check your email!!
Click on evaluation link on #BayAreaPC
Fill out hard copy
Thank You andEnjoy Lunch!